Up until this admission, Zacchaio's heart had been very obedient (if you recall, he was diagnosed with a very rare arrhythmia at birth). Unfortunately with his increased incidence of vomiting this week he lost therapeutic blood levels of his cardiac medications and therefore presented to the ICU with a nasty arrhythmia and a very high and uncontrolled heart rate.
He went without any food for a couple of days due to his continued risk for aspiration. High flow oxygen itself carries additional risk in that if he were to aspirate, the high flow can push whatever was aspirated deeper into his lungs and lead to aspiration pneumonia. Dealing with a hungry and cranky Zacchaio was well worth eliminating that risk.
In an effort to further eliminate his aspiration risk, they advanced his NG (nasogastric) tube to his jejunum to become an NJ (nasojejunal) tube.
Once his tube was advanced he was started on continuous feeds (as anatomically the jejunum cannot handle large amounts of feed at one time, such as to mimic regular bottle feeds, aka bolus feeds). It was incredibly unlikely that food would back up into his stomach now. Whew.
|Ladies... Eat your heart out!|
- After a gradual wean off oxygen the last few days, he's OFF OXYGEN entirely today! (Photo without nasal cannula to come soon!)
- His tube has been pulled back to his stomach... Welcome back NG!
- He has started small bolus feedings again and will continue to work his way back up to full feeding volumes.